Department of Surgery, West Virginia University, Morgantown, WV 26507, USA.
Ann Thorac Surg. 2013 May;95(5):e123-5. doi: 10.1016/j.athoracsur.2012.10.076.
Intravascular retention and embolization of fragment of central venous catheters is a rare but well-documented complication of in-dwelling vascular access devices and ports. We describe the case of a 39-year-old male with fracture of the central venous catheter during removal of subcutaneous vascular access port. Over the next 3 years, the catheter fragment embolized through the pulmonary circulation and subsequently migrated into the left pleural space. He presented with empyema thoracis associated with thoracolumbar vertebral osteomyelitis. He required video-assisted thoracoscopy for retrieval of the catheter fragment, left lung decortication, and subsequent multilevel vertebral corpectomy and spine stabilization procedures.
血管内滞留和中央静脉导管碎片栓塞是留置血管通路装置和端口的罕见但有充分记录的并发症。我们描述了一例 39 岁男性在移除皮下血管通路端口时发生中心静脉导管断裂的病例。在接下来的 3 年中，导管碎片通过肺循环栓塞，并随后迁移到左侧胸腔。他出现脓胸，伴有胸腰椎骨髓炎。他需要进行电视辅助胸腔镜检查以取出导管碎片，进行左肺去皮质化，随后进行多节段椎体切除术和脊柱稳定手术。
